Payer PolicyActive
CMM-308: Intradiscal Procedures
EVICORE-MSK_ADVANCED-8782CA0F
EviCore by Evernorth
Effective: July 1, 2021
Updated: January 13, 2026
created · Dec 5, 2025
Policy Summary
Evicore CMM-308 deems intradiscal procedures (e.g., IDET/IEA, nucleoplasty, biacuplasty, coblation, targeted disc decompression and intradiscal injectates such as PRP, stem cells, ozone, methylene blue, etc.) experimental, investigational, or unproven and identifies no covered indications. The guideline specifies no patient-selection, frequency, age, or documentation criteria and directs providers to individual payors for coverage decisions and any prior-authorization requirements.
Coverage Criteria Preview
Key requirements from the full policy
"None — the guideline states intradiscal procedures are considered experimental, investigational, or unproven and their effectiveness has not been established: "Based on the lack of conclusive scien..."
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